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CPT code 28140: Metatarsal excision, complete bone removal2026 Medicare rate & RVUs in Delaware

Reports complete removal of a metatarsal, such as for severe bone infection or destructive disease requiring excision of the entire bone.

CMS RVU26DEffective Oct 1, 2026One payment locality752 Medicare services in 2024

In Delaware, Medicare pays $556.37 for 28140 in the office and $392.69 when it’s performed in a hospital or facility.

$556.37Office (non-facility)
$392.69Hospital or facility
−1.0%vs the national office rate ($561.80)

Check a contract rate as a % of Medicare · 28140 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 28140 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 28140 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 28140 covers

This service removes an entire metatarsal bone in the foot. An orthopedic surgeon or podiatric surgeon may perform it when disease or damage requires complete bone excision, such as severe metatarsal osteomyelitis. The operative report should identify the metatarsal and describe removal of the whole bone, rather than only its head or a limited portion.

Report 28140 when the documented procedure removes the complete metatarsal; use a partial-excision code when only part is removed. The day-before preoperative visit and 90 days of related postoperative care are included in its major-surgery global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 28140

Across 109 of 109 payment localities, the office rate for 28140 runs from $505.14 in Arkansas to $706.01 in San Benito County, CA. Delaware pays $556.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

28140 in Delaware vs other payment areas
  1. Delaware · this page$556.37
  2. Los Angeles, CA · California$616.17+$59.80
  3. Washington, DC area · District of Columbia$631.05+$74.68
  4. Miami, FL · Florida$619.54+$63.17
  5. Chicago, IL · Illinois$603.42+$47.05
  6. Manhattan, NY · New York$642.64+$86.27
  7. Alaska · Alaska$684.17+$127.80

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

28140 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$511.45$366.49
ArkansasArkansas$505.14$362.83
ArizonaArizona$548.23$387.70
Bakersfield, CACalifornia$583.36$401.79
Chico, CACalifornia$580.72$399.15
El Centro, CACalifornia$580.87$399.30
Fresno, CACalifornia$580.72$399.15
Hanford, CACalifornia$580.72$399.15

28140 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$505.14

$684.17

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
28140 office rate range by state
State / territoryOffice rate rangeLocalities
AK$684.171
AL$511.451
AR$505.141
AZ$548.231
CA$580.72–$706.0129
CO$577.261
CT$595.761
DC$631.051
DE$556.371
FL$563.57–$619.543
GA$535.15–$573.272
GU$590.331
HI$590.331
IA$518.411
ID$522.171
IL$552.47–$603.424
IN$524.651
KS$518.301
KY$526.021
LA$526.10–$548.172
MA$575.37–$626.192
MD$565.29–$631.053
ME$526.60–$548.142
MI$539.57–$571.712
MN$549.561
MO$519.68–$547.483
MS$512.401
MT$561.741
NC$531.001
ND$544.151
NE$520.241
NH$570.371
NJ$601.55–$626.412
NM$542.911
NV$557.141
NY$537.99–$658.785
OH$535.981
OK$523.121
OR$551.78–$591.172
PA$535.60–$584.012
PR$564.651
RI$572.901
SC$534.571
SD$542.061
TN$520.781
TX$532.73–$576.268
UT$540.791
VA$547.97–$631.052
VI$564.651
VT$544.121
WA$573.60–$636.002
WI$528.651
WV$535.371
WY$554.071

See 28140 in every payment locality

How the 28140 rate is calculated

Each of 28140’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 28140

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.96

6.96 RVUs× 1.000 GPCI

Practice expense8.97

8.97 RVUs× 1.000 GPCI

Malpractice0.89

0.89 RVUs× 1.000 GPCI

Adjusted RVUs

16.8200

Conversion factor

$33.4009

Medicare rate

$561.80

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,137

Code
28140
Physician work
6.96
Practice expense
8.97
Malpractice
0.89

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 28140 in Delaware
ComponentRVULocality factorAdjusted
Physician work6.96× 1.0056.9948
Practice expense8.97× 0.9888.8624
Malpractice0.89× 0.8990.8001
Total RVUs16.6573
Conversion factor× 33.4009

Office rate, Delaware$556.37

Office: (6.96 × 1.005 + 8.97 × 0.988 + 0.89 × 0.899) × $33.4009 = $556.37

Facility: (6.96 × 1.005 + 4.01 × 0.988 + 0.89 × 0.899) × $33.4009 = $392.69

Open 28140 in the RVU calculator

Payment rules and modifiers for 28140

28140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 28140

Metatarsal excision, complete bone removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 28140

Metatarsal excision, complete bone removal

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

28140 without 51 · national office

$561.80

Metatarsal excision, complete bone removal

28140-51 · Second procedure: 50%

$280.90

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 28140

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 28140
CodeHow it relatesOffice range, Delaware
Same family
28110Metatarsal resection, partial fifth-head excisionPartial excision at the fifth metatarsal head, rather than complete removal of the metatarsal.$462.64
28111Metatarsal excision, first metatarsal headComplete excision of the first metatarsal head; distinguishes head removal from whole-bone removal.$468.50
28112Metatarsal head resection, second metatarsal headComplete excision of the second metatarsal head, not the entire metatarsal.$477.30
28113Metatarsal excision, third, fourth, or fifth metatarsalComplete excision of the third metatarsal head, not the entire metatarsal.$579.10
28114Metatarsal head excision, second through fourth metatarsalMetatarsal head excision; compare the documented extent with complete metatarsal removal.$1,101.51
Used instead
28122Tarsal bone excision, other tarsal bonesPartial excision of a tarsal or metatarsal bone when the entire metatarsal is not removed.$593.53
28173Bone tumor surgery, metatarsalMetatarsal tumor resection when the operation is specifically for a metatarsal tumor.No office rate

How 28140 has changed in Delaware

28140 · Office / nonfacility

$556.37

Effective 2026-10-01

The base rate is $9.46 higher than on 2025-10-01, moving from $546.91 to $556.37 (1.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $546.91changed to$556.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.14 changed to 6.96
    • Practice expense RVU 8.94 changed to 8.97
    • Malpractice RVU 0.88 changed to 0.89
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $566.05changed to$546.91

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.99 changed to 8.94
    • Malpractice RVU 0.93 changed to 0.88

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $556.81changed to$566.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $577.65changed to$556.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.94 changed to 8.99
    • Malpractice RVU 0.91 changed to 0.93
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $596.05changed to$577.65

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.97 changed to 8.94
    • Malpractice RVU 0.95 changed to 0.91
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $606.76changed to$596.05

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.15 changed to 8.97
    • Malpractice RVU 0.93 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $621.87changed to$606.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.93 changed to 9.15
    • Malpractice RVU 0.91 changed to 0.93
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $627.95changed to$621.87

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.11 changed to 8.93
    • Malpractice RVU 0.85 changed to 0.91
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $632.84changed to$627.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.24 changed to 9.11
    • Malpractice RVU 0.87 changed to 0.85

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $631.22changed to$632.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.20 changed to 9.24
    • Malpractice RVU 0.86 changed to 0.87
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $634.33changed to$631.22

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.23 changed to 9.20
    • Malpractice RVU 0.90 changed to 0.86
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $634.00changed to$634.33

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.17 changed to 9.23
    • Malpractice RVU 0.89 changed to 0.90

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $630.85changed to$634.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $629.10changed to$630.85

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.23 changed to 9.17
    • Malpractice RVU 0.86 changed to 0.89
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $627.30changed to$629.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.16 changed to 9.23
    • Malpractice RVU 0.90 changed to 0.86
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $627.30

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$556.37$392.69RVU26D
2026-07-01$556.37$392.69RVU26C
2026-04-01$556.37$392.69RVU26B
2026-01-01$556.37$392.69RVU26A
2025-10-01$546.91$415.99RVU25D
2025-07-01$546.91$415.99RVU25C
2025-04-01$546.91$415.99RVU25B
2025-01-01$546.91$415.99RVU25A
2024-10-01$566.05$426.70RVU24D
2024-07-01$566.05$426.70RVU24C
2024-04-01$566.05$426.70RVU24B
2024-03-09$566.05$426.70RVU24AR
2024-01-01$556.81$419.74RVU24A
2023-10-01$577.65$432.28RVU23D
2023-07-01$577.65$432.28RVU23C
2023-04-01$577.65$432.28RVU23B
2023-01-01$577.65$432.28RVU23A
2022-10-01$596.05$441.14RVU22D
2022-07-01$596.05$441.14RVU22C
2022-04-01$596.05$441.14RVU22B
2022-01-01$596.05$441.14RVU22A
2021-10-01$606.76$443.43RVU21D
2021-07-01$606.76$443.43RVU21C
2021-04-01$606.76$443.43RVU21B
2021-01-01$606.76$443.43RVU21A
2020-10-01$621.87$459.00RVU20D
2020-07-01$621.87$459.00RVU20C
2020-04-01$621.87$459.00RVU20B
2020-01-01$621.87$459.00RVU20A
2019-10-01$627.95$462.33RVU19D
2019-07-01$627.95$462.33RVU19C
2019-04-01$627.95$462.33RVU19B
2019-01-01$627.95$462.33RVU19A
2018-10-01$632.84$464.46RVU18D
2018-07-01$632.84$464.46RVU18C
2018-04-01$632.84$464.46RVU18B
2018-01-01$632.84$464.46RVU18AR1
2017-10-01$631.22$463.84RVU17D
2017-07-01$631.22$463.84RVU17C
2017-04-01$631.22$463.84RVU17B
2017-01-01$631.22$463.84RVU17A
2016-10-01$634.33$466.00RVU16D
2016-07-01$634.33$466.00RVU16C
2016-04-01$634.33$466.00RVU16B
2016-01-01$634.33$466.00RVU16A
2015-10-01$634.00$465.07RVU15D
2015-07-01$634.00$465.07RVU15C
2015-04-01$630.85$462.75RVU15B
2015-01-01$630.85$462.75RVU15A
2014-10-01$629.10$460.66RVU14D
2014-07-01$629.10$460.66RVU14C
2014-04-01$629.10$460.66RVU14B
2014-01-01$629.10$460.66RVU14A
2013-10-01$627.30$447.57RVU13D
2013-07-01$627.30$447.57RVU13C
2013-04-01$627.30$447.57RVU13B
2013-01-01$627.30$447.57RVU13AR

Price 28140 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

28140 billing questions

How does 28140 differ from a partial metatarsal excision?

Use 28140 when the operative report supports removal of the entire metatarsal. Codes for partial excision apply when only a portion is removed.

Does removing only a metatarsal head support 28140?

No. A procedure limited to the metatarsal head is distinct from complete removal of the metatarsal; select the code that matches the documented extent.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used when both feet are treated?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard 50% multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons are paid only when supporting documentation is provided.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 28140PPRRVU2026_Oct_nonQPP.csv, line 3,137 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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